I am in receipt of your letter of
[DATE, ex. June 10, 2014]. Although I am
honored by the privilege, I respectfully request that I be excused from jury
duty.

[STATE REASON(S), ex. I am
currently employed by ABC International Incorporated of Tempe. As a small firm, my employer will be unable
to pay me during my absence for jury duty.
Simply stated, my financial position will be severely affected as a
result. I will be able to forward a statement from my employer if you so
require.]

I trust that you understand my
position and excuse me, thus, from jury duty.
You may contact me at XXX-XXXX if there are any concerns.

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